Does obesity and varying body mass index affect the clinical outcomes and safety of biportal endoscopic lumbar decompression? A comparative cohort study

• DOI: 10.1007/s00701-024-06110-1
• Publication Date: 2024-06-03T22:01:41Z
• Authors: Thomas E. Olson; Alexander Upfill-...; Babapelumi Adejuy...; Nitin Bhatia; Yu-Po Lee; Sohaib Hashmi; Hao-Hua Wu; Hansen Bow; Cheol Wung Park; Dong Hwa Heo; Don Young Park
• Keywords: Affect

Endoscopic spine surgery has recently grown in popularity due to the potential benefits of reduced pain and faster recovery time as compared open surgery. Biportal spinal endoscopy been successfully applied lumbar disc herniations stenosis. Obesity is associated with increased risk complications Few prior studies have investigated impact obesity medical comorbidities biportal endoscopy. This study was a prospectively collected, retrospectively analyzed comparative cohort design. Patients were divided into cohorts normal body weight (Bone Mass Index (BMI)18.0-24.9), overweight (BMI 25.0-29.9) obese > 30.0) defined by World Health Organization (WHO). underwent single surgeon at institution for treatment Demographic data, surgical complications, patient-reported outcomes analyzed. Statistics calculated amongst groups using analysis variance chi square where appropriate. Statistical significance determined p < 0.05. Eighty-four patients followed. 26 (30.1%) BMI, 35 (41.7%) 23 (27.4%) obese. increasing BMI had correspondingly greater American Society Anesthesiologist (ASA) scores. There no significant differences VAS Back, Leg, ODI scores, or postoperative among cohorts. cases site infections cohort. All demonstrated improvement up 1 year postoperatively. demonstrates that not factor perioperative similar clinical safety profile BMI. promising alternative traditional techniques treat common pathology.